Trial Outcomes & Findings for Study to Evaluate the Efficacy and Safety of Hyoscine Butylbromide Tablets for the Treatment of Occasional or Recurrent Episodes of Gastric or Intestinal Spasm-like Pain or Discomfort (NCT NCT02242305)

NCT ID: NCT02242305

Last Updated: 2017-07-27

Results Overview

The endpoint presents change of the mean Visual Analogue Scale (VAS) of pain intensity score, recorded daily by the patient in the evening in his/her patient diary describing pain intensity during the previous 24 hours, from the baseline pain intensity. The baseline pain intensity was the pain intensity of first episode on Day 1 after randomization before taking study medication. The mean VAS pain intensity score was calculated for the 3-day treatment period. A VAS for describing the pain intensity was used (VAS: maximum score of 10 cm, the score from 0 - 10 cm reaching from "no pain" to "the most severe pain imaginable").

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

302 participants

Primary outcome timeframe

3 days (1 day)

Results posted on

2017-07-27

Participant Flow

Participant milestones

Participant milestones
Measure
Hyoscine Butylbromide - Tablet (Tab.)
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Buscopan) sugar coated tablet 20 mg orally, 3 times daily for 3 days.
Hyoscine Butylbromide - Capsule (Cap.)
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Jie Jing Ning) sugar coated capsule 20 mg orally, 3 times daily for 3 days.
Overall Study
STARTED
151
151
Overall Study
COMPLETED
145
141
Overall Study
NOT COMPLETED
6
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Hyoscine Butylbromide - Tablet (Tab.)
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Buscopan) sugar coated tablet 20 mg orally, 3 times daily for 3 days.
Hyoscine Butylbromide - Capsule (Cap.)
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Jie Jing Ning) sugar coated capsule 20 mg orally, 3 times daily for 3 days.
Overall Study
Without spasm-like pain during 3 weeks
1
4
Overall Study
Adverse Event
1
0
Overall Study
Non-compliance dosing regimen or visit
2
2
Overall Study
Subject withdraws inform consent
0
4
Overall Study
Lost to Follow-up
2
0

Baseline Characteristics

Study to Evaluate the Efficacy and Safety of Hyoscine Butylbromide Tablets for the Treatment of Occasional or Recurrent Episodes of Gastric or Intestinal Spasm-like Pain or Discomfort

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hyoscine Butylbromide - Tablet
n=146 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Buscopan) sugar coated tablet 20 mg orally, 3 times daily for 3 days.
Hyoscine Butylbromide - Capsule
n=142 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Jie Jing Ning) sugar coated capsule 20 mg orally, 3 times daily for 3 days.
Total
n=288 Participants
Total of all reporting groups
Age, Continuous
43.2 Years
STANDARD_DEVIATION 12.49 • n=5 Participants
41.9 Years
STANDARD_DEVIATION 12.05 • n=7 Participants
42.6 Years
STANDARD_DEVIATION 12.27 • n=5 Participants
Sex: Female, Male
Female
89 Participants
n=5 Participants
84 Participants
n=7 Participants
173 Participants
n=5 Participants
Sex: Female, Male
Male
57 Participants
n=5 Participants
58 Participants
n=7 Participants
115 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 days (1 day)

Population: Per-Protocol Set (PPS): All randomized subjects in FAS without any major protocol violation were included into the per protocol set, including those subjects who had good treatment compliance (80% to 120%), who did not take any restriction medications during the study period and whose Case Report Form (CRF) was complete as requested.

The endpoint presents change of the mean Visual Analogue Scale (VAS) of pain intensity score, recorded daily by the patient in the evening in his/her patient diary describing pain intensity during the previous 24 hours, from the baseline pain intensity. The baseline pain intensity was the pain intensity of first episode on Day 1 after randomization before taking study medication. The mean VAS pain intensity score was calculated for the 3-day treatment period. A VAS for describing the pain intensity was used (VAS: maximum score of 10 cm, the score from 0 - 10 cm reaching from "no pain" to "the most severe pain imaginable").

Outcome measures

Outcome measures
Measure
Hyoscine Butylbromide - Tablet
n=141 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Buscopan) sugar coated tablet 20 mg orally, 3 times daily for 3 days.
Hyoscine Butylbromide - Capsule
n=140 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Jie Jing Ning) sugar coated capsule 20 mg orally, 3 times daily for 3 days.
Change of the Mean Pain Intensity Score Measured on a Visual Analogue Scale (VAS) Within 3 Days (and Within 1 Day) - ANCOVA
Within 3 days
-2.48 Units on a scale
1.968
-2.45 Units on a scale
1.879
Change of the Mean Pain Intensity Score Measured on a Visual Analogue Scale (VAS) Within 3 Days (and Within 1 Day) - ANCOVA
Within 1 day
-2.36 Units on a scale
1.984
-2.31 Units on a scale
1.914

SECONDARY outcome

Timeframe: Up to 3 days.

Population: Per-Protocol Set (PPS): All randomized subjects in FAS without any major protocol violation were included into the per protocol set, including those subjects who had good treatment compliance (80% to 120%), who did not take any restriction medications during the study period and whose Case Report Form (CRF) was complete as requested.

The endpoint presents frequency improvement, change of the pain frequency from baseline pain frequency for each of Day 1 - 3. Baseline pain frequency meant the pain frequency before randomization on visit 1. VRS score of Day 3 change from baseline was calculated. A retrospective assessment was entered by the patient in the patient diary, again once daily in the evening, of the pain frequency over the preceding 24 hour period. This was based on a 4-stage Verbal Rating Scale (VRS) with the following scores to the question: "How many times have the spasm-like pains occurred today?" 0 = not at all, 1 = 1-2 times, 2 = 3-5 times, 3 = more than 5 times.

Outcome measures

Outcome measures
Measure
Hyoscine Butylbromide - Tablet
n=141 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Buscopan) sugar coated tablet 20 mg orally, 3 times daily for 3 days.
Hyoscine Butylbromide - Capsule
n=140 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Jie Jing Ning) sugar coated capsule 20 mg orally, 3 times daily for 3 days.
Change of the Pain Frequency Assessed on 4-stage Verbal Rating Scale (VRS)
Day 1-Baseline
-0.4 Units on a scale
Standard Deviation 0.77
-0.2 Units on a scale
Standard Deviation 0.73
Change of the Pain Frequency Assessed on 4-stage Verbal Rating Scale (VRS)
Day 3-Baseline
-1.0 Units on a scale
Standard Deviation 0.94
-0.8 Units on a scale
Standard Deviation 0.94

SECONDARY outcome

Timeframe: Post 3 days of treatment.

Population: Full Analysis Set (FAS): According to the Intent-to-Treat (ITT) principle, all randomized subjects who took at least one dose of study medication and who provided any data for the primary efficacy endpoint were used in FAS.

The endpoint presents global assessment of efficacy: by the patient after 3 days of treatment using a 4-point rating scale (good, satisfactory, not satisfactory, and bad).

Outcome measures

Outcome measures
Measure
Hyoscine Butylbromide - Tablet
n=143 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Buscopan) sugar coated tablet 20 mg orally, 3 times daily for 3 days.
Hyoscine Butylbromide - Capsule
n=141 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Jie Jing Ning) sugar coated capsule 20 mg orally, 3 times daily for 3 days.
Global Assessment of Efficacy by Patient on 4-point Scale
Good
35 Participants
35 Participants
Global Assessment of Efficacy by Patient on 4-point Scale
Satisfactory
69 Participants
76 Participants
Global Assessment of Efficacy by Patient on 4-point Scale
Not satisfactory
37 Participants
30 Participants
Global Assessment of Efficacy by Patient on 4-point Scale
Bad
2 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 3 days.

Population: Safety Set (SFS): All randomized subjects who took at least one dose of study medication.

The endpoint presents number of patients with Adverse Events (AEs). Subjects were required to report spontaneously any AEs as well as the time of onset, end and intensity of these events. Specific questions were asked wherever required or useful to more precisely describe an AE. An Adverse Event was termed serious when one of the following applied: death, directly lifethreatening, continuous or severe impairment, in-patient treatment or prolonging of hospitalization, congenital deformity and other similar medical criteria.

Outcome measures

Outcome measures
Measure
Hyoscine Butylbromide - Tablet
n=146 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Buscopan) sugar coated tablet 20 mg orally, 3 times daily for 3 days.
Hyoscine Butylbromide - Capsule
n=142 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Jie Jing Ning) sugar coated capsule 20 mg orally, 3 times daily for 3 days.
Number of Patients With Adverse Events
Subjects with AE: Severe
0 Participants
0 Participants
Number of Patients With Adverse Events
Subjects with AE
10 Participants
10 Participants
Number of Patients With Adverse Events
Subjects with treatment related AE
5 Participants
5 Participants
Number of Patients With Adverse Events
Subjects with Serious Adverse Event (SAE)
0 Participants
0 Participants
Number of Patients With Adverse Events
AE leading to discontinuation from treatment
1 Participants
0 Participants
Number of Patients With Adverse Events
Subjects with AE: Mild
10 Participants
10 Participants
Number of Patients With Adverse Events
Subjects with AE: Moderate
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Day 3.

Population: Safety Set (SFS): All randomized subjects who took at least one dose of study medication.

The endpoint presents global assessment of tolerability by subject on a 4-point scale. Global assessment of tolerability regarding all episodes treated by the subject after 3 days of treatment (good, satisfactory, not satisfactory, bad).

Outcome measures

Outcome measures
Measure
Hyoscine Butylbromide - Tablet
n=145 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Buscopan) sugar coated tablet 20 mg orally, 3 times daily for 3 days.
Hyoscine Butylbromide - Capsule
n=141 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Jie Jing Ning) sugar coated capsule 20 mg orally, 3 times daily for 3 days.
Global Assessment of Tolerability by Investigator on a 4-point Scale
Good
51 Participants
47 Participants
Global Assessment of Tolerability by Investigator on a 4-point Scale
Satisfactory
72 Participants
72 Participants
Global Assessment of Tolerability by Investigator on a 4-point Scale
Not satisfactory
21 Participants
22 Participants
Global Assessment of Tolerability by Investigator on a 4-point Scale
Bad
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 3 days.

Population: Safety Set (SFS): All randomized subjects who took at least one dose of study medication.

Number of patients with findings in clinical relevant abnormalities for laboratory, vital signs, ElectroCardioGram (ECG) and physical examination. Relevant findings or worsening of baseline conditions were reported as Adverse Events (AEs).

Outcome measures

Outcome measures
Measure
Hyoscine Butylbromide - Tablet
n=146 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Buscopan) sugar coated tablet 20 mg orally, 3 times daily for 3 days.
Hyoscine Butylbromide - Capsule
n=142 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Jie Jing Ning) sugar coated capsule 20 mg orally, 3 times daily for 3 days.
Number of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical Examination
Urinary White Bllood Cell count abnormalities
4 Participants
2 Participants
Number of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical Examination
Urinary Red Blood Cell count abnormalities
2 Participants
1 Participants
Number of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical Examination
Urinary albumin abnormalities
1 Participants
1 Participants
Number of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical Examination
White Blood Cell count abnormalities
0 Participants
1 Participants
Number of Subjects With Clinical Relevant Abnormalities for Laboratory, Vital Signs, ElectroCardioGram (ECG) and Physical Examination
Platelet count abnormalities
0 Participants
1 Participants

SECONDARY outcome

Timeframe: From time of the first dose to the time that the first VAS reduction occurred, up to 180 minutes after the first dose on Day 1.

Population: Per-Protocol Set (PPS): All randomized subjects in FAS without any major protocol violation were included into the per protocol set, including those subjects who had good treatment compliance (80% to 120%), who did not take any restriction medications during the study period and whose Case Report Form (CRF) was complete as requested.

This outcome measure presents percentage of event for time to therapeutic effect defined as the time that the first VAS reduction occurred.

Outcome measures

Outcome measures
Measure
Hyoscine Butylbromide - Tablet
n=141 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Buscopan) sugar coated tablet 20 mg orally, 3 times daily for 3 days.
Hyoscine Butylbromide - Capsule
n=140 Participants
The subjects administered Hyoscine Butylbromide (10 mg), (Brand name: Jie Jing Ning) sugar coated capsule 20 mg orally, 3 times daily for 3 days.
Percentage of Event for Time to Therapeutic Effect
93.6 Percentage of event
92.1 Percentage of event

Adverse Events

Hyoscine Butylbromide - Tablet

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Hyoscine Butylbromide - Capsule

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Boehringer Ingelheim, Call Center

Boehringer Ingelheim

Phone: 1800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER